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The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant?

A review of records from other fertility doctors that you have seen is also important. Fertility treatments for women Fertility drugs might be prescribed to regulate or induce ovulation. Female age of 35 years or older: For unclear reasons, egg numbers decrease at a rapid rate as women age. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. To assist in the luteal phase, the patient is given beta-HCG or progesterone. But it may actually point to an underlying condition, such as endometriosis or pelvic inflammatory disease.

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In natural intercourse, only a fraction of the sperm make it into the woman’s genital tract. Cervical mucus problems impairing conception may be treated with intrauterine insemination (IUI) or uterine instillation of specially prepared sperm. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. Do you have a family history of medical problems? An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. Causes of Infertility Affecting Both Partners Some causes of infertility, such as psychological causes, may be relevant to both partners.

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In this case, symptoms can also include: Skin changes, including more acne Changes in sex drive and desire Dark hair growth on the lips, chest, and chin Loss of hair or thinning hair Weight gain Other symptoms of disorders that may lead to infertility include: Milky white discharge from nipples unrelated to breastfeeding Pain during sex Many other things can be related to infertility in women, and their symptoms vary. Some causes are more common in some countries than others, such as pelvic inflammatory diseases (PID) and sexually transmitted infections (STI) in Africa [10].

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This abnormality is usually surgically corrected in infancy. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Uterine synechiae development is a potential complication after the surgery; therefore, a postoperative HSG should be part of follow-up care. Human male infertility, the Y chromosome, and dinosaur extinction. (PDF, 1 MB) Middle East Fertility Society Journal, January 18, 2011.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400. Renal Transplantation Between Adults and Children. (PDF, 1 MB) Journal of the American Medical Association, 1974. Thus, an intravenous pyelogram must be performed once this diagnosis is made. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. 6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. Infertility and Impaired Fecundity in the United States, 1982-2010: Data from the National Survey of Family Growth. This should be followed by documentation of ovulation via serum progesterone. Guidelines and recommendations were retrieved from the best evidence reviews at the American College of Obstetricians and Gynaecologists (ACOG), American Society for Reproductive Medicine (ASRM), Canadian Fertility and Andrology Society (CFAS), European Society of Human Reproduction and Embryology (ESHRE), Human Fertilisation and Embryology Authority (HFEA), Royal College of Obstetricians and Gynaecologists (RCOG), and the World Health Organization (WHO). It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). They can include: Changes in hair growth Changes in sexual desire Pain, lump, or swelling in the testicles Problems with erections and ejaculation Small, firm testicles   When to See the Doctor If you are under 35 and have been trying to get pregnant without success for a year, see your doctor.